Do Clinical Decision Support Systems Reduce Inappropriate Antibiotic Prescribing for Acute Bronchitis?

Incomplicated acute bronchitis is a self-resolving, upper respiratory infection most often caused by a virus. Treatment with antibiotics is unnecessary and contributes to the development of antibiotic resistance. Despite this evidence, healthcare providers frequently succumb to significant pressure...

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Bibliographic Details
Published in:Online Journal of Nursing Informatics Vol. 21; no. 1; pp. 2 - 3
Main Author: Terry, Angela
Format: review Journal Article
Published: HIMSS Foundation Winter2017
Online Access:View this record in EBSCOhost
Description
Summary:Incomplicated acute bronchitis is a self-resolving, upper respiratory infection most often caused by a virus. Treatment with antibiotics is unnecessary and contributes to the development of antibiotic resistance. Despite this evidence, healthcare providers frequently succumb to significant pressure from patients and prescribe antibiotics. One strategy being implemented to address this problem is the use of clinical decision support (CDS) systems, either through electronic medical records (EMRs) or non-electronic methods. Nurse practitioners are increasingly utilizing CDS systems as part of the care team. This integrative review of the literature demonstrates that, when implemented correctly, CDS's can help reduce inappropriate antibiotic prescribing by nurse practitioners for acute bronchitis.